| NPI | 1003255910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 006617) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME165515) |
| 208M00000X Hospitalist (Licence: GA 006617) | |
| 208M00000X Hospitalist (Licence: FL ME165515) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-11-12 |