NPI | 1801174644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 13213) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 13213) |
Enumeration Date | 2011-07-27 |
Last Update Date | 2017-04-18 |