NPI | 1407119852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A14043) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO1944) |
207R00000X Internal Medicine (Licence: NV SL0902) | |
Enumeration Date | 2012-06-20 |
Last Update Date | 2018-04-11 |