NPI | 1386107936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2022034945) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022034945) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-10-09 |