NPI | 1568102739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 91064) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL87632) |
208M00000X Hospitalist (Licence: SC 91064) | |
Enumeration Date | 2022-03-29 |
Last Update Date | 2025-09-29 |