NPI | 1679983670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS14276) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14276) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2024-05-16 |