| NPI | 1730495284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 206216) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301097358) |
| 207Q00000X Family Medicine (Licence: LA 206216) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2024-03-26 |