NPI | 1629411103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-04848) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-04848) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2017-11-08 |