NPI | 1619401197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 85936) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 85936) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2020-08-28 |