| NPI | 1659805547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A172493) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D89877) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2021-07-26 |