NPI | 1952833170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A166479) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 08885758) |
207R00000X Internal Medicine (Licence: CA A166479) | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2020-07-29 |