| NPI | 1558673152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2017011098) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017011098) |
| 207Q00000X Family Medicine (Licence: TX BP1-0037472) | |
| 208M00000X Hospitalist (Licence: IL 036132314) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-05-23 |