NPI | 1487216990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 57238) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074708) |
207R00000X Internal Medicine (Licence: KY TP966) | |
208M00000X Hospitalist (Licence: KY 57238) | |
Enumeration Date | 2019-07-03 |
Last Update Date | 2024-02-05 |