NPI | 1841676541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61218214) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 69307) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2023-04-07 |