NPI | 1851328967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 28207-020) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 28207-020) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2014-01-15 |