NPI | 1659804334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-03444) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01084270A) |
207R00000X Internal Medicine (Licence: FL ME144899) | |
208M00000X Hospitalist (Licence: OK 43398) | |
Enumeration Date | 2017-04-10 |
Last Update Date | 2025-09-02 |