| NPI | 1174899546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS13176) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 2755) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2026-01-13 |