| NPI | 1750538856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.31090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 31090) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-07-26 |