NPI | 1922234657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C145764) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 34818) |
207R00000X Internal Medicine (Licence: CA C145764) | |
Enumeration Date | 2009-06-09 |
Last Update Date | 2017-02-03 |