NPI | 1609122050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 67543) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.125416) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2023-10-31 |