NPI | 1356725329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A145237) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A145237) |
Enumeration Date | 2015-07-19 |
Last Update Date | 2018-08-18 |