NPI | 1982342671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514785) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301514785) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2025-07-24 |