| NPI | 1912914193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 19483) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 19483) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-03-02 |