NPI | 1205397171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS020815) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS020815) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2022-07-12 |