NPI | 1710544408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2022018307) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022018307) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2024-04-25 |