| NPI | 1700839446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A 60579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A60579) |
| 208M00000X Hospitalist (Licence: CA A60579) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-04-17 |