NPI | 1598721854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101246347) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35079558) |
207R00000X Internal Medicine (Licence: VA 0101246347) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2014-08-07 |