NPI | 1407177702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 2545) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 2545) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2022-04-20 |