NPI | 1770725392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: PA MD443892) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD443892) |
208M00000X Hospitalist (Licence: PA MD443892) | |
Enumeration Date | 2009-03-27 |
Last Update Date | 2023-04-06 |