NPI | 1497315923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81003-21) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075057) |
207R00000X Internal Medicine (Licence: IL 125075057) | |
207R00000X Internal Medicine (Licence: WI 81003) | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2024-09-16 |