| NPI | 1326618786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 4831-320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351048469) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-01-09 |