| NPI | 1063838639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 5836) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AK 140226) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2026-01-06 |