NPI | 1972575587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-37011) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 34051) |
207R00000X Internal Medicine (Licence: NC 200501714) | |
208M00000X Hospitalist (Licence: AL 35106) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2017-03-08 |