NPI | 1669975447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 87973) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 163610) |
207R00000X Internal Medicine (Licence: GA 87973) | |
Enumeration Date | 2018-03-17 |
Last Update Date | 2023-08-16 |