| NPI | 1316391956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A168682) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD194521) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-11-09 |