NPI | 1619968864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-01666) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-048486) |
207R00000X Internal Medicine (Licence: NC 2008-01666) | |
Enumeration Date | 2005-11-04 |
Last Update Date | 2023-08-31 |