NPI | 1548667934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 081400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271067) |
208M00000X Hospitalist (Licence: MA 271067) | |
Enumeration Date | 2014-12-01 |
Last Update Date | 2019-04-22 |