| NPI | 1295026607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0104200) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 35253) |
| 208M00000X Hospitalist (Licence: AZ 74871) | |
| 208M00000X Hospitalist (Licence: OH 35.123647) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-10-14 |