| NPI | 1437349545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.201572) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 201572) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-10-21 |