NPI | 1144439266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60212399) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60212399) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2025-01-10 |