| NPI | 1225560808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.153222) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 302794) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2025-04-21 |