NPI | 1770903031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 97239) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462051) |
208M00000X Hospitalist (Licence: GA 97239) | |
208M00000X Hospitalist (Licence: PA MD462051) | |
Enumeration Date | 2014-04-24 |
Last Update Date | 2024-08-20 |