| NPI | 1811281314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.207034) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA GETP.200854) |
| 208M00000X Hospitalist (Licence: LA MD.207034) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-06-16 |