NPI | 1891057501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2016007948) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016007948) |
Enumeration Date | 2012-06-10 |
Last Update Date | 2021-03-25 |