NPI | 1255771218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301102504) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102504) |
Enumeration Date | 2013-07-04 |
Last Update Date | 2016-11-16 |