| NPI | 1710081781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A99233) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A99233) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-05-16 |