NPI | 1255592408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A105925) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105925) |
208M00000X Hospitalist (Licence: UT 13260341-1205) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2023-05-18 |