| NPI | 1871792382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A100777) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A100777) |
| 207Q00000X Family Medicine (Licence: CA 920820) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-03-27 |