NPI | 1780028779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 70569) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115764) |
208M00000X Hospitalist (Licence: GA 70569) | |
Enumeration Date | 2013-04-22 |
Last Update Date | 2024-05-23 |