NPI | 1104053958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9683348-1204) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9683348-1204) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2021-09-30 |