NPI | 1255951380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME164156) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME164156) |
Enumeration Date | 2020-04-18 |
Last Update Date | 2024-08-11 |