NPI | 1548614563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO2524) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO2524) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2025-06-16 |