| NPI | 1477563047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A31074) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-34753) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-01-02 |