| NPI | 1295224400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 176205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 133703) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-10-06 |