NPI | 1710163795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 047740) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 47740) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2017-03-17 |