NPI | 1427498781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 30626) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 298591) |
208M00000X Hospitalist (Licence: PA MD458363) | |
Enumeration Date | 2013-07-01 |
Last Update Date | 2022-04-08 |