NPI | 1619395225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 288983) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 288983) |
208M00000X Hospitalist (Licence: PA MD463314) | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2023-03-10 |