NPI | 1689679953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 72767) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-00-7447) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2020-10-12 |