NPI | 1629008073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME95659) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME95659) |
208M00000X Hospitalist (Licence: FL ME95659) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2009-05-19 |