NPI | 1598490476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 94548) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.253385) |
Enumeration Date | 2022-07-23 |
Last Update Date | 2025-07-09 |