NPI | 1972034213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 60572) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4428) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2022-04-01 |