NPI | 1669824074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 84542) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 72959) |
207R00000X Internal Medicine (Licence: WI 72959) | |
Enumeration Date | 2016-07-09 |
Last Update Date | 2024-11-18 |