| NPI | 1164168415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A201671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A201671) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-08-01 |