| NPI | 1831190339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E 1842) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-1842) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-03-20 |