NPI | 1063850964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 32369) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 32369) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2018-11-29 |