NPI | 1275591927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 227276) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 227276) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2020-10-29 |