NPI | 1013170554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: HI DOS-1459) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 007238) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2021-05-19 |