NPI | 1881973147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME111803) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48453) |
207R00000X Internal Medicine (Licence: IL 036.139108) | |
207R00000X Internal Medicine (Licence: MI 5315078849) | |
207R00000X Internal Medicine (Licence: AL MD.41475) | |
208M00000X Hospitalist (Licence: KY 48453) | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2021-02-15 |