NPI | 1710144761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0435266) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104270) |
207R00000X Internal Medicine (Licence: CO 46377) | |
208M00000X Hospitalist (Licence: FL ME104270) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2020-07-30 |