NPI | 1760738678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 46176) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 13620) |
208M00000X Hospitalist (Licence: ND 13620) | |
207R00000X Internal Medicine (Licence: NE 6866) | |
Enumeration Date | 2012-07-28 |
Last Update Date | 2025-09-23 |