| NPI | 1891775565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G177629) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 39944) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-10-19 |