NPI | 1306877014 |
---|---|
Former Name | PAUL JOHNSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2007011379) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007011379) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-12-17 |