NPI | 1942287453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 46538) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 27286) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2010-02-18 |