NPI | 1740674241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0068275) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60777470) |
208M00000X Hospitalist (Licence: KY TP285) | |
208M00000X Hospitalist (Licence: KY 54036) | |
Enumeration Date | 2015-03-23 |
Last Update Date | 2025-06-03 |