NPI | 1740672708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 18787) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204563) |
208M00000X Hospitalist (Licence: AK 140667) | |
Enumeration Date | 2015-02-28 |
Last Update Date | 2024-08-30 |