NPI | 1356831705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2020035168) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS18154) |
208M00000X Hospitalist (Licence: MO 2020035168) | |
207R00000X Internal Medicine (Licence: MO 2020035168) | |
Enumeration Date | 2018-05-11 |
Last Update Date | 2024-01-09 |