NPI | 1497068688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A13372) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A13372) |
207R00000X Internal Medicine (Licence: IL 125057749) | |
Enumeration Date | 2010-07-16 |
Last Update Date | 2019-11-21 |