| NPI | 1144668997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-01707) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD459058) |
| 207Q00000X Family Medicine (Licence: PA MD459058) | |
| 207Q00000X Family Medicine (Licence: SC 35730) | |
| 208M00000X Hospitalist (Licence: NC 2018-01707) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-09-18 |