NPI | 1457536427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A97563) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a97563) |
208000000X Pediatrics (Licence: CA a97563) | |
Enumeration Date | 2008-01-08 |
Last Update Date | 2022-07-21 |