NPI | 1457884355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2020011271) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020011271) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2020-09-09 |