| NPI | 1831683556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 208M00000X) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301504683) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2025-07-16 |