| NPI | 1205333838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 321213) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: LA 321216) |
| 208M00000X Hospitalist (Licence: LA 321216) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-04-12 |