NPI | 1861409120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 5091413-1205) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5091413-1205) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2022-07-21 |