NPI | 1528529807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089753A) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 316135) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2023-11-16 |