NPI | 1922374313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60806385) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101258057) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2021-05-19 |