| NPI | 1508092396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 074655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 074655) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2018-10-15 |