| NPI | 1316443724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.015650) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS024620) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-06-02 |