NPI | 1508326232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0065506) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO dr.0065506) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2023-07-18 |