NPI | 1023543394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO2739) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO2739) |
207R00000X Internal Medicine (Licence: MI 5151009981) | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2020-08-21 |