NPI | 1104263060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 076394) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301102801) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2024-01-09 |