| NPI | 1427341965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 33538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118099) |
| 208M00000X Hospitalist (Licence: AL MD.33538) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2023-03-30 |