NPI | 1487064564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A142395) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A142395) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2019-12-11 |