NPI | 1528485729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NC 2020-04827) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 81788) |
207R00000X Internal Medicine (Licence: TN 56620) | |
208M00000X Hospitalist (Licence: NC 2020-04827) | |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-05-24 |