NPI | 1912948167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD454387) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12873) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2021-11-18 |