| NPI | 1235629304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-14925) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-14925) |
| 207P00000X Emergency Medicine (Licence: ID M-14925) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-11-11 |