NPI | 1831683820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514719) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021012134) |
208M00000X Hospitalist (Licence: MO 2021012134) | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2025-08-05 |