| NPI | 1790947471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A116112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 003065) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-11-08 |