| NPI | 1316355407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-03160) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2022-03160) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2024-07-15 |