NPI | 1629377148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 03861) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03861) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2023-05-16 |