NPI | 1467498501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M7065) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M7065) |
207Q00000X Family Medicine (Licence: KY C1129) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2024-07-16 |