NPI | 1437737905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 74809) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31639) |
207R00000X Internal Medicine (Licence: MN 71957) | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2025-09-10 |