NPI | 1700086899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2010-01148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC TL30094) |
207R00000X Internal Medicine (Licence: NC 2010-01148) | |
Enumeration Date | 2007-07-18 |
Last Update Date | 2020-10-25 |