NPI | 1245644491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17861) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 17861) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2024-05-16 |