| NPI | 1891029856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.203323) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.203323) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2024-08-13 |