NPI | 1407107790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT203020) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.130161) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2018-01-10 |