NPI | 1710130687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017017628) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-35083) |
208M00000X Hospitalist (Licence: MO 2017017628) | |
Enumeration Date | 2008-10-23 |
Last Update Date | 2020-12-17 |