NPI | 1366939621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 94158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 63339) |
Enumeration Date | 2018-04-21 |
Last Update Date | 2025-06-03 |