NPI | 1033771746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351045550) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-49271) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2025-08-29 |