NPI | 1730747494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301508876) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-49865) |
208M00000X Hospitalist (Licence: IA MD-49865) | |
Enumeration Date | 2019-05-29 |
Last Update Date | 2023-07-18 |