NPI | 1700318409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-01507) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502399) |
208M00000X Hospitalist (Licence: MI 4301502399) | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2022-07-14 |