| NPI | 1629659925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A208262) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A208262) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-08-13 |