| NPI | 1447564950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-02017) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2013-02017) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2020-12-16 |