NPI | 1700191053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME107948) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107948) |
207R00000X Internal Medicine (Licence: NE FL-ME107948-A) | |
208M00000X Hospitalist (Licence: NY 272573) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2022-07-21 |