| NPI | 1972786887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.32031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 32031) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2024-07-26 |