| NPI | 1174598932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55727) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 044190) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-11-21 |