NPI | 1184669749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00038377) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00038377) |
208M00000X Hospitalist (Licence: WA MD00038377) | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2007-11-30 |