NPI | 1356636559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q8932) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011016854) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2017-02-08 |