| NPI | 1346280906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14681) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 14681) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-09-13 |