NPI | 1508092396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 074655) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 074655) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2018-10-15 |