NPI | 1932339611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301108838) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108838) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2018-09-28 |