| NPI | 1598931602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101249432) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD443698) |
| 208M00000X Hospitalist (Licence: VA 0101249432) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-12-19 |