NPI | 1881141877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 52432) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 52432) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2023-12-19 |