| NPI | 1386781664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD29854) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.29854) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-04-23 |