NPI | 1336582477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A133460) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a133460) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A133460) | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2017-10-04 |