| NPI | 1558711515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 57733) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C210447) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2026-08-11 |