| NPI | 1598151797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 125840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 100990) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2018-10-24 |