| NPI | 1013532126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL83258) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 83258) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-07-05 |