| NPI | 1598907867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI 1457) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: HI DOS1457) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-12-28 |