NPI | 1780940098 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 49173) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006595) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2016-10-12 |