NPI | 1659574564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60603377) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60603377) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2021-03-31 |