NPI | 1720449531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.015698) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015698) |
208M00000X Hospitalist (Licence: PA OS019541) | |
Enumeration Date | 2016-03-08 |
Last Update Date | 2024-02-21 |