NPI | 1770917684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A137538) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A137538) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2019-10-22 |