NPI | 1447267836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME120056) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2019-00753) |
207Q00000X Family Medicine (Licence: MI 4301074223) | |
208M00000X Hospitalist (Licence: MI 4301074223) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-04-24 |