NPI | 1366678286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248414) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23701) |
208M00000X Hospitalist (Licence: VA 0101248414) | |
Enumeration Date | 2009-06-05 |
Last Update Date | 2020-07-13 |