NPI | 1023030012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 22413) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22413) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-08-15 |