| NPI | 1518316207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 86158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2019-01744) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 86158) | |
| 208M00000X Hospitalist (Licence: NC 2019-01744) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-11-06 |