| NPI | 1851701296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A169743) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16979) |
| 207Q00000X Family Medicine (Licence: NV 16979) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-11-21 |