NPI | 1801206826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017016655) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016655) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2021-02-19 |