NPI | 1629414966 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 30079) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30079) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2019-04-23 |