| NPI | 1831323930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD158646) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD158646) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-01-10 |