NPI | 1215244546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A121381) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A121381) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2019-03-01 |