| NPI | 1295010148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID 8671031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-06846) |
| 208M00000X Hospitalist (Licence: IA DO-06846) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2026-03-24 |