| NPI | 1750960837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A24945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS22178) |
| 207R00000X Internal Medicine (Licence: FL OS22178) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-05-06 |