NPI | 1992199079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0013122) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0013122) |
208000000X Pediatrics (Licence: DE C1-0013122) | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2019-09-04 |