NPI | 1316479041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD471803) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471803) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2020-12-14 |