NPI | 1225424203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02007488A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO2436) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2023-10-12 |