NPI | 1841552429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A13905) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2129) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2021-12-15 |