NPI | 1306955422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.074055) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35074055T) |
207R00000X Internal Medicine (Licence: OH 35.074055) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2017-03-29 |