| NPI | 1821288499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N2331) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 51504) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 40394) | |
| 208M00000X Hospitalist (Licence: IN 01081121A) | |
| 208M00000X Hospitalist (Licence: OR MD217161) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-08-07 |