NPI | 1043664527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 62467) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 62467) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2020-02-19 |