NPI | 1467453936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 80853) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080342A) |
208M00000X Hospitalist (Licence: FL ME80853) | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2024-01-02 |