NPI | 1740669845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.134179) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022045087) |
208M00000X Hospitalist (Licence: MO 2022045087) | |
Enumeration Date | 2015-05-21 |
Last Update Date | 2023-08-24 |