| NPI | 1306833686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 34697-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 34697-020) |
| 207Q00000X Family Medicine (Licence: WI 34697) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-08-25 |