NPI | 1992007447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75809) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 75809) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2024-07-03 |