NPI | 1356832331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 327372) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 327372) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2023-04-27 |