NPI | 1417576984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023032162) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2023032162) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2023-12-14 |