| NPI | 1033464656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 127525) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 127525) |
| 208M00000X Hospitalist (Licence: CA 127525) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2017-02-21 |