NPI | 1902390099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.072201) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME175050) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2025-09-12 |