NPI | 1952514341 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD162140) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD162140) |
207R00000X Internal Medicine (Licence: IA 37082) | |
208M00000X Hospitalist (Licence: IL 036.122624) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-07-27 |