| NPI | 1386195469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-50909) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 19501) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-07-01 |