NPI | 1497721625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO20800) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO20800) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2021-03-25 |