NPI | 1841530649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129797) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2016-0243) |
208M00000X Hospitalist (Licence: NM MD2016-0243) | |
Enumeration Date | 2013-02-15 |
Last Update Date | 2023-07-11 |