NPI | 1952981052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 59965) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP349) |
Enumeration Date | 2021-04-12 |
Last Update Date | 2025-06-23 |