NPI | 1346609070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP60832959) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60832959) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2018-07-16 |