NPI | 1306134721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD197490) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD197490) |
207R00000X Internal Medicine (Licence: ME MD23128) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: OR MD197490) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD197490) | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2023-10-06 |