| NPI | 1013927441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A86727) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A86727) |
| 207Q00000X Family Medicine (Licence: CA A86727) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A86727) | |
| 207R00000X Internal Medicine (Licence: CA A86727) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-05-28 |