NPI | 1003055021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 047332) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 047332) |
Enumeration Date | 2009-02-14 |
Last Update Date | 2021-11-11 |