NPI | 1073928693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018002737) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2015031715) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2020-02-24 |