NPI | 1538488879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 277909) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-34373) |
208M00000X Hospitalist (Licence: FL ME121411) | |
208M00000X Hospitalist (Licence: KS 04-34373) | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2017-11-28 |