NPI | 1548766223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021015389) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 18207C) |
207R00000X Internal Medicine (Licence: NE 8215) | |
207R00000X Internal Medicine (Licence: CO CDR.0002413) | |
208M00000X Hospitalist (Licence: MN 73173) | |
208M00000X Hospitalist (Licence: WI 13145) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-08-28 |