| NPI | 1801043286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A114099) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A114099) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-03-07 |