NPI | 1558653238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129730) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098190) |
208M00000X Hospitalist (Licence: FL ME129730) | |
Enumeration Date | 2011-05-12 |
Last Update Date | 2019-10-25 |