NPI | 1780610444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 18216) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 18216) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2023-11-21 |