NPI | 1366556292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0066548) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-086618) |
207R00000X Internal Medicine (Licence: PA MD436406) | |
208M00000X Hospitalist (Licence: PA MD436406) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2019-05-06 |