NPI | 1871083857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-50268) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-50268) |
207R00000X Internal Medicine (Licence: TX T2529) | |
Enumeration Date | 2018-05-15 |
Last Update Date | 2022-11-08 |