NPI | 1578152484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME172781) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 172781) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2025-07-24 |