NPI | 1386132504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 430106011) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036175089) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2025-07-08 |