| NPI | 1487847273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2007-00241) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2007-00241) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NC 2007-00241) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2024-07-09 |