NPI | 1043507148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2014011994) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-37150) |
Enumeration Date | 2011-07-09 |
Last Update Date | 2016-12-21 |