| NPI | 1881621282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CT 18283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 018283) |
| 208M00000X Hospitalist (Licence: CT 18283) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 18283) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-05-25 |