| NPI | 1720233976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A112909) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A112909) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-12-03 |