NPI | 1235700535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 341395) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 341395) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-10-03 |