| NPI | 1972009967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A176700) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301504828) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-10-10 |