NPI | 1801280953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NE 1614) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34016727) |
208M00000X Hospitalist (Licence: OH 34016727) | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2024-02-19 |