NPI | 1376502757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101055295) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053249) |
208M00000X Hospitalist (Licence: MD D0053249) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-10-12 |