NPI | 1730686221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61187288) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61187288) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2021-11-24 |