| NPI | 1972626786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14021) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 14021) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2015-08-26 |