| NPI | 1447836085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0100389) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A198577) |
| 207R00000X Internal Medicine (Licence: MD D0100389) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-04-06 |