NPI | 1639490238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 53654) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 32743) |
207R00000X Internal Medicine (Licence: KY 53654) | |
208M00000X Hospitalist (Licence: SC 32743) | |
Enumeration Date | 2010-06-17 |
Last Update Date | 2023-12-19 |