| NPI | 1689968224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A125034) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A125034) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2023-10-17 |