NPI | 1194171041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60946719) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60946719) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2021-07-02 |