NPI | 1861802720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61132246) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61132246) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2024-01-19 |