NPI | 1588988133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101250903) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250903) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2016-10-02 |