NPI | 1659959740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023006568) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9410761) |
208M00000X Hospitalist (Licence: MO 2023006568) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-09-13 |