| NPI | 1801531272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A201054) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 201054) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2026-06-16 |