NPI | 1871941872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019019685) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019019685) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2019-07-11 |