NPI | 1588282875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 35555) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-54343) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2025-03-06 |