NPI | 1700516358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS025082) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS025082) |
Enumeration Date | 2022-06-15 |
Last Update Date | 2025-07-29 |