NPI | 1316563471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NM DO2023-1025) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO7401) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2023-07-31 |