NPI | 1982963773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 03720) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 03720) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2022-01-26 |