| NPI | 1083920086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-13165) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 206188) |
| 208M00000X Hospitalist (Licence: LA 206188) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-09-22 |