NPI | 1962543496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 29654) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 11253504-1205) |
208M00000X Hospitalist (Licence: ID M-13495) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-03-30 |