NPI | 1366737694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60728171) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-0762) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2021-04-27 |