| NPI | 1174747778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A8887) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-114772) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2022-09-30 |