NPI | 1063908754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.149892) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022044121) |
208M00000X Hospitalist (Licence: PA MD474564) | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2024-05-24 |