NPI | 1720461932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS14279) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006019A) |
207R00000X Internal Medicine (Licence: FL UO4459) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2020-06-03 |