NPI | 1235717968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81471) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 81471-20) |
Enumeration Date | 2021-04-01 |
Last Update Date | 2025-09-08 |