| NPI | 1427007988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A72653) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A72653) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A72653) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-05-22 |