NPI | 1003844754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 23538) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.23538) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2025-10-02 |