NPI | 1811421290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102205913) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0102205913) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2023-11-22 |