NPI | 1710220140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS12067) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS12067) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2020-03-25 |