| NPI | 1073160636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.155540) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD477795) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2026-06-08 |