NPI | 1548213119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0421422) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2008009944) |
208M00000X Hospitalist (Licence: MO 2008009944) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2022-07-27 |