NPI | 1538181375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IA 36781) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 36781) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2022-04-08 |