NPI | 1306173505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C153752) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14504) |
208M00000X Hospitalist (Licence: NV 14504) | |
Enumeration Date | 2009-11-09 |
Last Update Date | 2020-03-10 |