| NPI | 1477936862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD189783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1500) |
| 208M00000X Hospitalist (Licence: CO CDR0000179) | |
| 208M00000X Hospitalist (Licence: OR MD189783) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-02-20 |