NPI | 1144485822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019020856) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44093) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2024-03-08 |