| NPI | 1336544006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GU DO-0075) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A13621) |
| 207Q00000X Family Medicine (Licence: GU DO-0075) | |
| 207R00000X Internal Medicine (Licence: GU DO-0075) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-11-20 |