| NPI | 1275943425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D97958) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D97958) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D97958) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-05-03 |