| NPI | 1487832234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A 107897) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: HI MD-17247) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2023-06-13 |