NPI | 1972819282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A118641) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A118641) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2022-06-01 |