NPI | 1982916763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 49983) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45924) |
207R00000X Internal Medicine (Licence: FL ME139821) | |
208M00000X Hospitalist (Licence: KY 45924) | |
208M00000X Hospitalist (Licence: GA 07716) | |
208M00000X Hospitalist (Licence: FL ME139821) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2025-02-19 |