| NPI | 1740774991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A163463) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A163463) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-05-04 |