| NPI | 1851036966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO3930) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A22187) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-08-14 |