NPI | 1821388901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0055606) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.010854) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2016-12-05 |