NPI | 1780634857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A86771) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A86771) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-10-20 |