NPI | 1801167572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME136752) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME136752) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2025-07-01 |