NPI | 1467716530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A150215) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A150215) |
207Q00000X Family Medicine (Licence: NC 184103) | |
Enumeration Date | 2012-07-03 |
Last Update Date | 2023-06-28 |