NPI | 1528080041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A76579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A76579) |
208M00000X Hospitalist (Licence: CA A76579) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2018-11-05 |