NPI | 1760747695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 82544) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251986) |
207R00000X Internal Medicine (Licence: OR MD214909) | |
208M00000X Hospitalist (Licence: OR MD214909) | |
Enumeration Date | 2012-07-06 |
Last Update Date | 2025-07-21 |