NPI | 1205943388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: ME 2052) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 2052) |
208M00000X Hospitalist (Licence: ME 2052) | |
207P00000X Emergency Medicine (Licence: ME 2052) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2012-10-16 |