NPI | 1538695572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167456) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19849) |
208M00000X Hospitalist (Licence: NV 19849) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-07-25 |