NPI | 1215323761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 1161018) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 1161018) |
Enumeration Date | 2015-04-11 |
Last Update Date | 2019-09-25 |