NPI | 1871980292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 58529) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 58529) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2019-09-18 |