NPI | 1083239297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MO 2023004904) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023004904) |
208M00000X Hospitalist (Licence: MO 2023004904) | |
Enumeration Date | 2020-06-12 |
Last Update Date | 2024-04-25 |