NPI | 1124246350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A89569) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A89569) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2021-12-06 |