NPI | 1942942487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 59750) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 59750) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2025-06-23 |