NPI | 1366739773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124693) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132729) |
208M00000X Hospitalist (Licence: FL ME124693) | |
208M00000X Hospitalist (Licence: IL 036132729) | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2023-01-12 |