NPI | 1003337437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101268234) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268234) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2022-07-21 |