NPI | 1265419519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 107795) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49590) |
207R00000X Internal Medicine (Licence: CA 107795) | |
Enumeration Date | 2005-12-28 |
Last Update Date | 2023-04-30 |