NPI | 1679913008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D81007) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 9930) |
Enumeration Date | 2013-06-29 |
Last Update Date | 2017-07-28 |