NPI | 1710194220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX M5925) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5925) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2008-04-15 |