NPI | 1598168627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102204848) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 51340) |
208M00000X Hospitalist (Licence: TN 51340) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2023-08-28 |