| NPI | 1013998202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0063904) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0063904) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2012-04-18 |