NPI | 1316235906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101260070) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201401636) |
207R00000X Internal Medicine (Licence: VA 0101260070) | |
Enumeration Date | 2011-07-16 |
Last Update Date | 2025-08-12 |