| NPI | 1457589350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017983) |
| 208M00000X Hospitalist (Licence: AL 1201) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-04-11 |