| NPI | 1073069316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD227352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C191917) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-11-12 |