NPI | 1285625053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 48306) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 23985) |
207R00000X Internal Medicine (Licence: WY 7813A) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WY 7813A) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2022-07-21 |