NPI | 1780954297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2013009628) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013009628) |
Enumeration Date | 2012-01-01 |
Last Update Date | 2019-10-29 |