NPI | 1871856872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.34365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 34365) |
207R00000X Internal Medicine (Licence: TX BP10044660) | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2025-09-25 |