| NPI | 1417275033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A122119) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A122119) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2024-01-15 |