| NPI | 1942494737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D74660) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD434879) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2022-07-21 |