| NPI | 1588835839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101242106) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101242106) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2024-06-17 |