NPI | 1902831787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME105658) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-07-7485) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-07-21 |