NPI | 1447463500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 12452) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 12452) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-12 |