NPI | 1730628173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 20069) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 20069) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2020-08-24 |