| NPI | 1225590045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0105752) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A177915) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-06-26 |