NPI | 1801086426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME99799) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME99799) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME99799) | |
Enumeration Date | 2007-07-30 |
Last Update Date | 2013-11-06 |