| NPI | 1669961801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A17696) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A17696) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-05-15 |