NPI | 1912392937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A151785) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151785) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2019-11-13 |