NPI | 1568759454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A136712) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 136712) |
207R00000X Internal Medicine (Licence: MO 2011015914) | |
Enumeration Date | 2011-06-30 |
Last Update Date | 2024-02-16 |