NPI | 1760688311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35144219) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201503) |
207R00000X Internal Medicine (Licence: LA MD.201503) | |
207R00000X Internal Medicine (Licence: TX Q4621) | |
208M00000X Hospitalist (Licence: TX Q4621) | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2022-02-03 |