NPI | 1043206758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 14714R) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.14714R) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2022-07-21 |