NPI | 1699063941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 280630) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IA 40781) |
208M00000X Hospitalist (Licence: IA 40781) | |
208M00000X Hospitalist (Licence: PA MD443871) | |
Enumeration Date | 2011-07-20 |
Last Update Date | 2021-12-17 |