| NPI | 1518450113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 21824) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 009067) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-11-29 |