NPI | 1730700550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 337868) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 337868) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2024-10-07 |