NPI | 1710116959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS12317) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-00892) |
208M00000X Hospitalist (Licence: NC 2011-00892) | |
Enumeration Date | 2009-07-09 |
Last Update Date | 2018-11-21 |