NPI | 1245295062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006900L) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS006900L) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-08-19 |