| NPI | 1255568929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO1807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 252123) |
| 207Q00000X Family Medicine (Licence: FL OS10897) | |
| 208M00000X Hospitalist (Licence: NV DO1807) | |
| 208M00000X Hospitalist (Licence: NY 252123) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2022-11-01 |