| NPI | 1073878138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL me121227) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME121227) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2025-08-26 |