| NPI | 1922749993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A209199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 83373-20) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-07-31 |