NPI | 1437525748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101279502) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 63998) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2024-04-02 |