| NPI | 1043478456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A121358) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 30806) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-06-19 |