NPI | 1407389810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 296795) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 296795) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2020-10-21 |