NPI | 1780034314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 008358) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 3428) |
207R00000X Internal Medicine (Licence: NV DO2504) | |
207R00000X Internal Medicine (Licence: NV SL1147) | |
207R00000X Internal Medicine (Licence: AZ 008358) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2022-09-02 |