| NPI | 1932134822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G76216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G76216) |
| 208M00000X Hospitalist (Licence: CA G76216) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-01-22 |