NPI | 1669766598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U2245) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 279119) |
207Q00000X Family Medicine (Licence: RI MD14600) | |
207Q00000X Family Medicine (Licence: PA MD467329) | |
208M00000X Hospitalist (Licence: PA MD467329) | |
Enumeration Date | 2011-06-08 |
Last Update Date | 2023-08-30 |