NPI | 1497781298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 027084) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 27084) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2020-09-04 |