NPI | 1710475553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-00332) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245813) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2021-08-10 |