NPI | 1043848930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.148062) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 12407606-1205) |
Enumeration Date | 2020-03-28 |
Last Update Date | 2023-08-28 |