NPI | 1821257544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101245647) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116018626) |
207R00000X Internal Medicine (Licence: DC 136286) | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2018-11-08 |