NPI | 1598935314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.202723) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.2.LSUN-IM) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2020-05-07 |