NPI | 1467983866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 73552) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73552) |
207R00000X Internal Medicine (Licence: IL 125.071053) | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2021-11-22 |