| NPI | 1285847996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35071153) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM MD2015-0672) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-06-26 |