NPI | 1649257718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME89166) |
Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: FL ME 89166) |
207R00000X Internal Medicine (Licence: FL ME89166) | |
208M00000X Hospitalist (Licence: FL ME89166) | |
Enumeration Date | 2005-12-29 |
Last Update Date | 2018-02-16 |