NPI | 1497017313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL FR3862528) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11016813A) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2024-06-24 |