NPI | 1851581003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55760) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 41006) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2021-11-10 |