NPI | 1881894400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301097159) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 57343) |
208M00000X Hospitalist (Licence: MI 4301097159) | |
Enumeration Date | 2007-07-21 |
Last Update Date | 2022-10-11 |