NPI | 1790987394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A116823) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A116823) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2011-07-29 |