NPI | 1457401788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 15822) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 15822) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2012-03-09 |