NPI | 1164952347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81249) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125071170) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2023-09-01 |