NPI | 1366604589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD126182) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 4835321-1205) |
207R00000X Internal Medicine (Licence: WA MD60840742) | |
208M00000X Hospitalist (Licence: OR MD126182) | |
Enumeration Date | 2008-06-29 |
Last Update Date | 2021-02-12 |