| NPI | 1528261617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E6603) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E6603) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: AR E6603) | |
| 208M00000X Hospitalist (Licence: OK 31671) | |
| 208M00000X Hospitalist (Licence: AR E6602) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-06-28 |