NPI | 1316911159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2002-00125) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 2002-00125) |
208M00000X Hospitalist (Licence: NC 2002-00125) | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2024-09-11 |