NPI | 1710078688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 196889) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 196889) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2016-11-29 |