| NPI | 1407146269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A129830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A129830) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A129830) | |
| 208M00000X Hospitalist (Licence: CA A129830) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2022-07-21 |