| NPI | 1437470465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A127002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 14932) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-01-06 |