| NPI | 1073907226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0085063) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD046225) |
| 208M00000X Hospitalist (Licence: VA 0101264257) | |
| 207R00000X Internal Medicine (Licence: MD D85063) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2026-05-07 |