NPI | 1770570178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 37850) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 37850) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2022-12-21 |