NPI | 1871868059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A126762) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A126762) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2019-08-20 |