| NPI | 1578739835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103128) |
| 208M00000X Hospitalist (Licence: CA A103128) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2022-11-01 |