NPI | 1871795674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.201438) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.201438) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2023-11-28 |