NPI | 1265096184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 343993) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 343993) |
207R00000X Internal Medicine (Licence: IL 125077221) | |
Enumeration Date | 2019-04-25 |
Last Update Date | 2025-09-25 |