NPI | 1396070611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-14515) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5062855-1205) |
208M00000X Hospitalist (Licence: ID M-14515) | |
Enumeration Date | 2009-10-04 |
Last Update Date | 2021-11-18 |