NPI | 1851602502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO157021) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR DO157021) |
208M00000X Hospitalist (Licence: OR DO157021) | |
Enumeration Date | 2010-06-28 |
Last Update Date | 2020-11-05 |