| NPI | 1336879154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 36621) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-55412) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-08-20 |