NPI | 1891359949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D94705) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D94705) |
Enumeration Date | 2019-04-24 |
Last Update Date | 2023-10-03 |