NPI | 1811395965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A139764) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A139764) |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2014-12-05 |
Last Update Date | 2018-09-12 |