NPI | 1073553244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 11089170-1205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A83601) |
207R00000X Internal Medicine (Licence: CA A83601) | |
208D00000X General Practice (Licence: CA A83601) | |
208M00000X Hospitalist (Licence: NV 12247) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-03-06 |