NPI | 1821382045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.123759) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.123759) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2021-03-23 |