NPI | 1891082962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 48962) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 48962) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2018-12-28 |