| NPI | 1518124726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A10205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A10205) |
| 207Q00000X Family Medicine (Licence: CA 20A10205) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-09-27 |