| NPI | 1003059445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GA069127) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD445581) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA GA069127) | |
| 208M00000X Hospitalist (Licence: GA GA069127) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2015-11-27 |