NPI | 1376800730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 14821) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 14821) |
208000000X Pediatrics (Licence: CA 14821) | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2023-09-08 |