NPI | 1053672048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75157) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020049) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2021-11-18 |