NPI | 1063855047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017006922) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017006922) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2022-07-21 |