NPI | 1568780922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 281785) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 272480) |
208M00000X Hospitalist (Licence: CT 57197) | |
208M00000X Hospitalist (Licence: NY 272480) | |
208M00000X Hospitalist (Licence: MA 281785) | |
Enumeration Date | 2010-05-11 |
Last Update Date | 2022-09-30 |