NPI | 1922448141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083681A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61513) |
2083B0002X Preventive Medicine, Obesity Medicine (Licence: IN 01083681A) | |
208M00000X Hospitalist (Licence: NY 285083) | |
208M00000X Hospitalist (Licence: MN 61513) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2023-12-28 |