NPI | 1376779454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A117627) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A117627) |
207R00000X Internal Medicine (Licence: CA A117627) | |
208D00000X General Practice (Licence: CA A117627) | |
Enumeration Date | 2009-06-03 |
Last Update Date | 2023-03-07 |