NPI | 1326120833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 243071) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 2079) |
207R00000X Internal Medicine (Licence: WI 51308) | |
208M00000X Hospitalist (Licence: FL OS15146) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2025-09-11 |