| NPI | 1245285576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 22851) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-52464) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-02-25 |