NPI | 1437672763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A169311) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169311) |
207R00000X Internal Medicine (Licence: MI 4301113006) | |
Enumeration Date | 2017-07-19 |
Last Update Date | 2020-11-11 |