NPI | 1508355892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 37054) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-45153) |
Enumeration Date | 2018-05-02 |
Last Update Date | 2023-12-29 |