NPI | 1629409644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 16350) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276231) |
207R00000X Internal Medicine (Licence: WY 17999C) | |
208M00000X Hospitalist (Licence: IL 031635011) | |
208M00000X Hospitalist (Licence: NY 276231) | |
Enumeration Date | 2013-12-01 |
Last Update Date | 2025-06-02 |