NPI | 1568835692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 006923) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046977) |
207R00000X Internal Medicine (Licence: AZ 006923) | |
Enumeration Date | 2015-11-11 |
Last Update Date | 2025-08-05 |