| NPI | 1033522719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 75495) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 62051) |
| 208M00000X Hospitalist (Licence: CA C196471) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2025-05-07 |