NPI | 1669912051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T1682) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME142397) |
Enumeration Date | 2017-03-03 |
Last Update Date | 2023-02-27 |