| NPI | 1346820982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-18446) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024042580) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-01-16 |