NPI | 1447202395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS009605L) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS009605L) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2022-08-19 |