NPI | 1881684249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101245554) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD10623) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD10623) | |
208M00000X Hospitalist (Licence: RI MD10623) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2021-10-25 |