NPI | 1043572696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD170347) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD170347) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2025-06-11 |