| NPI | 1265849723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A144408) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A144408) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-11-12 |