NPI | 1033587357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 296392) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 296392) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2023-11-06 |