NPI | 1164171039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 34318) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 34318) |
Enumeration Date | 2022-03-19 |
Last Update Date | 2025-07-28 |