| NPI | 1144630955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-10690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-10690) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2023-05-02 |