NPI | 1023678596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81516-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073926) |
Enumeration Date | 2019-06-17 |
Last Update Date | 2023-06-26 |