| NPI | 1699439943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 000000000000000) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA PENDING) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA PENDING) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |