NPI | 1104404607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.151430) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.151430) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-09-12 |