NPI | 1043219314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G156438) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101045088) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2018-08-28 |