NPI | 1114458817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD194045) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD194045) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2020-06-04 |