| NPI | 1689058448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A16600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16600) |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2018-08-10 |