NPI | 1124517701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO3944) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 332550) |
207R00000X Internal Medicine (Licence: NV DO3944) | |
Enumeration Date | 2018-05-09 |
Last Update Date | 2025-09-22 |