NPI | 1841710324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA 61531421) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 008421) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2024-06-04 |