NPI | 1578526109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 21365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 21365) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 21365) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2023-12-29 |