NPI | 1306112461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME112000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 112000) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2023-06-28 |