NPI | 1831518257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP60758811) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60758811) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2021-04-05 |