NPI | 1992812507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 23572) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 23572) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2022-10-31 |