| NPI | 1043482060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A1063) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA 20A1063) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A1063) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A1063) | |
| 208M00000X Hospitalist (Licence: CA 20A1063) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-01-26 |