NPI | 1457472490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 14142) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT189464) |
207Q00000X Family Medicine (Licence: PA MT189464) | |
208M00000X Hospitalist (Licence: FL ME107581) | |
208M00000X Hospitalist (Licence: NV 14142) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2013-09-09 |