| NPI | 1174599500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 43819-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 43819-020) |
| 208M00000X Hospitalist (Licence: WI 43819-20) | |
| Enumeration Date | 2006-02-26 |
| Last Update Date | 2025-01-13 |