NPI | 1639600885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502127) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01096557A) |
208M00000X Hospitalist (Licence: MI 4301502127) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2025-09-05 |