NPI | 1205333838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 321213) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: LA 321216) |
208M00000X Hospitalist (Licence: LA 321216) | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-04-12 |