| NPI | 1245433820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-01810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01810) |
| 208M00000X Hospitalist (Licence: NC 2019-01810) | |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2023-12-18 |