NPI | 1639603319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60979881) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60979881) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2022-06-15 |