NPI | 1376679571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-01029) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D69015) |
208M00000X Hospitalist (Licence: NC 2009-01029) | |
Enumeration Date | 2007-02-24 |
Last Update Date | 2022-02-01 |