NPI | 1366175531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 94189) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-4665) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2025-07-24 |