NPI | 1265061139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61320252) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61320252) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2023-09-28 |