| NPI | 1023169612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.27589) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.27589) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2026-04-27 |