| NPI | 1033524863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E12012) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-12012) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-12-06 |