NPI | 1932334059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63880) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195324) |
207R00000X Internal Medicine (Licence: PA MD444641) | |
207R00000X Internal Medicine (Licence: WI 63880) | |
Enumeration Date | 2009-05-19 |
Last Update Date | 2023-03-22 |