NPI | 1598152951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301116265) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301116265) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2024-06-19 |