NPI | 1538515143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME143307) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.136551) |
207R00000X Internal Medicine (Licence: MI 4301109516) | |
207R00000X Internal Medicine (Licence: FL ME143307) | |
Enumeration Date | 2016-05-12 |
Last Update Date | 2022-10-17 |