NPI | 1861485005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G88284) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G88284) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2017-08-31 |