NPI | 1578874830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL UO2570) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-010849) |
208M00000X Hospitalist (Licence: OH 34-010849) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2015-07-31 |