NPI | 1649254111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 28913) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 60318) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-10-08 |