NPI | 1144963547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 324841) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 324841) |
Enumeration Date | 2022-04-14 |
Last Update Date | 2025-08-20 |