NPI | 1568725042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 280673) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 280673) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2024-07-03 |