NPI | 1689243750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2024026879) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024026879) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-07-16 |