| NPI | 1093946832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2012-01509) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2012-01509) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2024-10-11 |