NPI | 1831484252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25857) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33748) |
208M00000X Hospitalist (Licence: WV 25857) | |
Enumeration Date | 2011-06-14 |
Last Update Date | 2021-05-26 |