NPI | 1255711800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 51279) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51279) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2023-12-19 |