NPI | 1538143011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.007954) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-00-7954) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2011-03-16 |