NPI | 1770901720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60849368) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60849368) |
Enumeration Date | 2014-04-06 |
Last Update Date | 2021-03-17 |