| NPI | 1730492000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A121353) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A121353) |
| 208M00000X Hospitalist (Licence: CA A121353) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2018-06-08 |