| NPI | 1457322216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-35408) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IA 35408) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IA MD-35408) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-06-16 |