| NPI | 1528478195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A144206) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A144206) |
| 207Q00000X Family Medicine (Licence: CA 1110999) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-04-24 |