NPI | 1124114319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX H2846) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H2846) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2021-06-22 |