NPI | 1285788323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 42424) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 42424) |
208M00000X Hospitalist (Licence: TN 42424) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2018-06-12 |