NPI | 1669409157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A61736) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A61736) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2018-05-24 |