| NPI | 1396120259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0091461) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DE C1-0012534) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-05-28 |