NPI | 1497276646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-00015) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030969) |
207R00000X Internal Medicine (Licence: NC 2019-00015) | |
Enumeration Date | 2017-06-28 |
Last Update Date | 2024-07-18 |