NPI | 1376974253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 49951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49951) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2021-01-20 |