| NPI | 1710481551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 74339) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 89161) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-11-25 |