NPI | 1699087445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A137013) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301097354) |
208M00000X Hospitalist (Licence: NV 17080) | |
Enumeration Date | 2010-07-09 |
Last Update Date | 2018-05-22 |