NPI | 1447208269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0010731) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VT 042.0010731) |
208M00000X Hospitalist (Licence: VT 042.0010731) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2024-03-08 |