| NPI | 1225005093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD25201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD25201) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-08-03 |