| NPI | 1649632878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 167908) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 320128) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2021-11-29 |