NPI | 1972573954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 42642) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 42642) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2019-11-01 |