NPI | 1417219122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0066014) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255127) |
207R00000X Internal Medicine (Licence: PA MD467277) | |
Enumeration Date | 2012-06-10 |
Last Update Date | 2021-07-02 |