| NPI | 1821301862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2014-00322) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2014-00322) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-06-14 |