NPI | 1619468683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS17922) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 009938) |
207R00000X Internal Medicine (Licence: FL OS17922) | |
Enumeration Date | 2018-05-24 |
Last Update Date | 2023-03-13 |