| NPI | 1063471589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.26585) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.26585) |
| 207Q00000X Family Medicine (Licence: AL MD.26585) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-08-22 |