NPI | 1912285446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017027303) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23146) |
207R00000X Internal Medicine (Licence: AL MD.32419) | |
207R00000X Internal Medicine (Licence: WV WV-SE-1846) | |
207R00000X Internal Medicine (Licence: AZ 65734) | |
207R00000X Internal Medicine (Licence: LA 321099) | |
208M00000X Hospitalist (Licence: GA 79603) | |
208M00000X Hospitalist (Licence: LA 321099) | |
208M00000X Hospitalist (Licence: AZ 65734) | |
Enumeration Date | 2011-08-02 |
Last Update Date | 2024-06-17 |