| NPI | 1871708180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-5264) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR T2007-068) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-03-11 |