NPI | 1275976805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018018431) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME128145) |
Enumeration Date | 2013-04-13 |
Last Update Date | 2020-02-13 |