| NPI | 1689897985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-15719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 44819) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-05-13 |