| NPI | 1679275002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A196834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 196834) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-08-25 |