NPI | 1982164364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 73599) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD61200438) |
Enumeration Date | 2019-03-22 |
Last Update Date | 2025-07-24 |