NPI | 1437416179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150281) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61374801) |
207QA0505X Family Medicine, Adult Medicine (Licence: OR MD171773) | |
207R00000X Internal Medicine (Licence: CA A150281) | |
208M00000X Hospitalist (Licence: CA A150281) | |
208M00000X Hospitalist (Licence: OR MD171773) | |
Enumeration Date | 2012-04-19 |
Last Update Date | 2023-02-03 |