NPI | 1972824357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 32920) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 32920) |
Enumeration Date | 2010-06-19 |
Last Update Date | 2021-03-24 |