| NPI | 1619318045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 070276) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 070276) |
| 208M00000X Hospitalist (Licence: GA 070276) | |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2020-03-04 |