NPI | 1952863821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02008453A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.015611) |
208M00000X Hospitalist (Licence: RI DO01308) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-07-03 |