| NPI | 1922083724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C54002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-104602) |
| 207R00000X Internal Medicine (Licence: CA C54002) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA C54002) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-03-28 |