| NPI | 1417337676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MO 2017023056) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017023056) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-11-15 |