NPI | 1427341965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 33538) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118099) |
208M00000X Hospitalist (Licence: AL MD.33538) | |
Enumeration Date | 2011-05-17 |
Last Update Date | 2023-03-30 |