| NPI | 1407814338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 44223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 202711) |
| 208M00000X Hospitalist (Licence: MA 202711) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-05-05 |