NPI | 1902817869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AK MEDS3968) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 3968) |
207R00000X Internal Medicine (Licence: WA MD32612) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD32612) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK 3968) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2019-04-26 |