NPI | 1447820006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME168837) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12290) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2024-08-07 |