NPI | 1609820158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0056736) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42278) |
207R00000X Internal Medicine (Licence: WV 20397) | |
207R00000X Internal Medicine (Licence: VA 0101227103) | |
208M00000X Hospitalist (Licence: IA MD-42278) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2022-06-08 |