NPI | 1801050356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME125998) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME125998) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2021-03-29 |