NPI | 1942608252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201402094) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-02094) |
207RH0005X Internal Medicine, Hypertension Specialist (Licence: IL 036.145875) | |
208M00000X Hospitalist (Licence: NC 2014-02094) | |
Enumeration Date | 2014-12-18 |
Last Update Date | 2024-03-06 |