NPI | 1417275033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A122119) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A122119) |
Enumeration Date | 2010-05-06 |
Last Update Date | 2024-01-15 |