| NPI | 1346654290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-22072) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GU MTL-2017-080) |
| 207Q00000X Family Medicine (Licence: CA A138833) | |
| 207Q00000X Family Medicine (Licence: GU M-2073) | |
| 207R00000X Internal Medicine (Licence: GU MTL-2017-080) | |
| 207R00000X Internal Medicine (Licence: GU M-2073) | |
| 208M00000X Hospitalist (Licence: ID M-14568) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-04-19 |