NPI | 1700828894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS007508L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS007508L) |
208M00000X Hospitalist (Licence: OH 34.0147778) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-10-16 |