| NPI | 1487040739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A17296) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 80011-21) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-07-25 |