NPI | 1881075513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD186365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 85995-20) |
207R00000X Internal Medicine (Licence: MN 79294) | |
207R00000X Internal Medicine (Licence: ID 8271451) | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2025-08-27 |