NPI | 1528427101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS019988) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016886) |
Enumeration Date | 2016-02-11 |
Last Update Date | 2019-06-20 |