NPI | 1982157400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 91367) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16603) |
207R00000X Internal Medicine (Licence: GA 91367) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2022-07-13 |