| NPI | 1578942736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2020-04179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2020-04179) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-07-15 |