NPI | 1134613508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 74836) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 74836) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2021-06-21 |