NPI | 1952505588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N5590) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N5590) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2024-05-02 |