NPI | 1134363112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0051461) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0051461) |
Enumeration Date | 2009-04-22 |
Last Update Date | 2024-01-30 |