NPI | 1083355788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10078769) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX V7988) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2025-09-09 |