NPI | 1578712378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD154567) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD154567) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2021-02-05 |