NPI | 1255539284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 12872) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 12872) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2021-05-20 |