NPI | 1124236690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA Do.000042) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA DO000042) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-10-07 |