NPI | 1134668890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME146115) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME146115) |
Enumeration Date | 2017-02-14 |
Last Update Date | 2023-11-03 |