| NPI | 1801906995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G35753) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G35753) |
| 207R00000X Internal Medicine (Licence: CA G35753) | |
| 208M00000X Hospitalist (Licence: OR MD166811) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-10-17 |