NPI | 1912006420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 066264) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009016959) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2022-01-06 |