NPI | 1013969997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS012985) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012985) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2015-03-20 |