NPI | 1801154455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 63895) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 291249-1) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2024-05-14 |