| NPI | 1265655237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C139297) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 42342) |
| 207Q00000X Family Medicine (Licence: KY 42342) | |
| 208M00000X Hospitalist (Licence: CA C139297) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-10-14 |