NPI | 1669669339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A105886) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A105886) |
208M00000X Hospitalist (Licence: CA A105886) | |
Enumeration Date | 2007-09-26 |
Last Update Date | 2022-07-19 |