NPI | 1790122307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C177218) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-8946) |
208M00000X Hospitalist (Licence: OH 35.129314) | |
Enumeration Date | 2013-05-23 |
Last Update Date | 2023-12-19 |