NPI | 1558604256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A133392) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A133392) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2017-02-21 |