| NPI | 1780610444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 18216) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 18216) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-11-21 |