| NPI | 1750767273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A143427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a143427) |
| 174400000X Specialist | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2025-07-08 |