| NPI | 1649486770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2009-0362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 20090362) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-04-09 |