NPI | 1376167411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102207664) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102207664) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2023-06-26 |