NPI | 1871906529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 77988) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36701) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2020-10-14 |