NPI | 1336482850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 73411) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-15406) |
207R00000X Internal Medicine (Licence: FL ME127728) | |
208M00000X Hospitalist (Licence: FL ME127728) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2025-09-04 |