NPI | 1073933800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 78588) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 078588) |
208M00000X Hospitalist (Licence: GA 6979) | |
Enumeration Date | 2014-04-19 |
Last Update Date | 2022-07-21 |