NPI | 1659553162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01088765A) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD28388) |
208M00000X Hospitalist (Licence: OH 35-090488) | |
Enumeration Date | 2007-11-27 |
Last Update Date | 2023-02-01 |