NPI | 1518452671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME150296) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301116155) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2021-09-15 |