NPI | 1336643477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND pt17600) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD27565) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-04-16 |