NPI | 1093196586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021041431) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2015017250) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2021-10-20 |