| NPI | 1356534994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108693) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 25854) |
| 208M00000X Hospitalist (Licence: IL 036145261) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2023-01-31 |