NPI | 1851730840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101260766) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260766) |
Enumeration Date | 2013-06-23 |
Last Update Date | 2018-07-03 |