| NPI | 1154940088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 70209) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A183914) |
| 207R00000X Internal Medicine (Licence: CA A183914) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2026-02-03 |