NPI | 1346778644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX t2425) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 324060) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2023-09-07 |