NPI | 1083243133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.147838) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.147838) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-02-26 |