NPI | 1700089521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 50698) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20739) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: MS 20739) | |
208M00000X Hospitalist (Licence: MS 20739) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2022-07-21 |