NPI | 1164087813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME169384) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL Me169384) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2024-07-30 |