| NPI | 1336182799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 34240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 34240) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-10-21 |