NPI | 1487831376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13613) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 13613) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2017-04-10 |