NPI | 1063414027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 66186) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 047393) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2021-10-05 |