NPI | 1407275415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0067013) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131954) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2021-10-29 |