| NPI | 1174796130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 059982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2024016618) |
| 208M00000X Hospitalist (Licence: LA 203985) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2024-07-22 |