NPI | 1407118953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016745) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS016745) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2024-01-26 |