NPI | 1760758569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 81981) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 61867) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2020-11-24 |