NPI | 1932187747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS9452) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9452) |
208M00000X Hospitalist (Licence: FL OS9452) | |
Enumeration Date | 2006-01-03 |
Last Update Date | 2023-10-11 |