NPI | 1932661576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 343105) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 22334) |
208M00000X Hospitalist (Licence: NV 22334) | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2024-08-23 |