NPI | 1558655472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 18043) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 266742) |
208M00000X Hospitalist (Licence: IL 036136122) | |
207R00000X Internal Medicine (Licence: PA MT199958) | |
Enumeration Date | 2011-06-08 |
Last Update Date | 2024-01-12 |