NPI | 1942454061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60851134) |
Additional Taxonomies | 174400000X Specialist (Licence: OK 26219) |
207R00000X Internal Medicine (Licence: WA MD60851134) | |
208M00000X Hospitalist (Licence: OK 26219) | |
Enumeration Date | 2008-11-17 |
Last Update Date | 2021-08-17 |