NPI | 1003855784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 13638) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 13638) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2021-05-14 |