| NPI | 1427092428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA G32520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32520) |
| 207R00000X Internal Medicine (Licence: OR MD21667) | |
| 208000000X Pediatrics (Licence: CA G32520) | |
| 208000000X Pediatrics (Licence: OR MD21667) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-10-15 |