NPI | 1386894228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 62972) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001786) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2019-10-09 |