| NPI | 1699087445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A137013) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301097354) |
| 208M00000X Hospitalist (Licence: NV 17080) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-05-22 |