NPI | 1033422134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60367191) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 27738) |
207Q00000X Family Medicine (Licence: WA MD60367191) | |
Enumeration Date | 2010-07-17 |
Last Update Date | 2024-03-27 |