NPI | 1649891078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 96791) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 340969) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2024-10-17 |