| NPI | 1467941674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 176124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 132860) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-10-06 |