| NPI | 1386968824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61144347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A119474) |
| 208M00000X Hospitalist (Licence: CA A119474) | |
| 208M00000X Hospitalist (Licence: NY 290235) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2021-04-01 |