| NPI | 1518348648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A154886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A154886) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-10-22 |