| NPI | 1073290987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 37548) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-57581) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2026-08-20 |