NPI | 1558756353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME140347) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-01790) |
207R00000X Internal Medicine (Licence: NC 209624) | |
208M00000X Hospitalist (Licence: NC 2018-01790) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2019-08-13 |