NPI | 1457845075 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5151012747) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023957) |
207R00000X Internal Medicine (Licence: MI 5151012747) | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2022-04-22 |