NPI | 1487849378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-21941) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062008) |
208M00000X Hospitalist (Licence: GA 62008) | |
Enumeration Date | 2007-09-13 |
Last Update Date | 2021-08-11 |