NPI | 1558676148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-00560) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075280) |
208M00000X Hospitalist (Licence: GA 075280) | |
208M00000X Hospitalist (Licence: NC 2017-00560) | |
Enumeration Date | 2010-08-09 |
Last Update Date | 2018-03-17 |