NPI | 1730522202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86588) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081110) |
207R00000X Internal Medicine (Licence: GA 86588) | |
Enumeration Date | 2013-04-15 |
Last Update Date | 2020-10-01 |