| NPI | 1114207677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-18865) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 45334) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2025-07-03 |