NPI | 1356594675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A104086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13214) |
207R00000X Internal Medicine (Licence: CA A104086) | |
Enumeration Date | 2008-10-30 |
Last Update Date | 2021-11-05 |