| NPI | 1194131813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67093-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 67093) |
| 208M00000X Hospitalist (Licence: WI 67093) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-02-19 |