NPI | 1083093942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 305762) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 305762) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2024-05-14 |