NPI | 1801245857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11018860A) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01082055A) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2025-09-17 |