NPI | 1720512072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 86465) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 86465) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-01-06 |