NPI | 1255546818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00031064) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00031064) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2021-04-08 |