| NPI | 1851528509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A117524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R2140) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-07-17 |