NPI | 1730755596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61538103) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61538103) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2024-08-07 |