NPI | 1255780185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A161067) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068351) |
207R00000X Internal Medicine (Licence: CA A161067) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2025-07-01 |