| NPI | 1952343907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR C-7251) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR C7251) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-05-10 |