NPI | 1649417791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL me102945) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 102945) |
Enumeration Date | 2009-01-12 |
Last Update Date | 2017-05-25 |