NPI | 1699297994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 324092) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 324092) |
Enumeration Date | 2017-07-09 |
Last Update Date | 2024-05-17 |