NPI | 1053991364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61544895) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61544895) |
Enumeration Date | 2021-04-11 |
Last Update Date | 2024-09-23 |