NPI | 1659505238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-19823) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-19823) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2021-05-03 |