NPI | 1548945751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-06957) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12933) |
Enumeration Date | 2023-06-16 |
Last Update Date | 2025-08-15 |