| NPI | 1093196420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 3257) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 3257) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-03-20 |