NPI | 1912136086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 273654) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 14008) |
207R00000X Internal Medicine (Licence: MA 273654) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD14008) | |
208M00000X Hospitalist (Licence: MA 273654) | |
Enumeration Date | 2009-07-09 |
Last Update Date | 2023-04-10 |