NPI | 1447670880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9550310-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9550310-1205) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2021-10-21 |