| NPI | 1295855401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME110904) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-51414) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2026-05-20 |