| NPI | 1841710324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA 61531421) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 008421) |
| 208M00000X Hospitalist (Licence: CA 16831) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-11-05 |