NPI | 1043749039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A164858) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A164858) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2021-09-22 |