NPI | 1902054414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME144157) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me144157) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2025-04-18 |