| NPI | 1588660401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A66513) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A66513) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-02-22 |