NPI | 1790795649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 26303) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 26303) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2024-10-01 |