NPI | 1861053373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 317574) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 317574) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2022-10-12 |