NPI | 1225094071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME97277) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME97277) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2024-09-25 |