NPI | 1629423421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO204120) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG188619) |
Enumeration Date | 2016-04-29 |
Last Update Date | 2024-07-30 |