NPI | 1710255815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 98500) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 98500) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2024-07-10 |