NPI | 1154582427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7200) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P7200) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2024-06-03 |