| NPI | 1225479090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 35442) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-9983) |
| 207R00000X Internal Medicine (Licence: OR MD228978) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2026-02-05 |