| NPI | 1598052953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86490) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A123159) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2026-05-29 |