NPI | 1578543013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A63459) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A63459) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2021-02-25 |